CN103582449B - For the modularization wrist wearing type processor of patient monitoring - Google Patents
For the modularization wrist wearing type processor of patient monitoring Download PDFInfo
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- CN103582449B CN103582449B CN201280011842.6A CN201280011842A CN103582449B CN 103582449 B CN103582449 B CN 103582449B CN 201280011842 A CN201280011842 A CN 201280011842A CN 103582449 B CN103582449 B CN 103582449B
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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Abstract
The invention provides a kind of physiological probe, the root of its thumb for being comfortably attached to patient, so as to the conventional activity that the finger for vacating patient is used in hospital, is such as read and is taken food.The probe includes separate carrier module and sensor assembly, and the probe is fastened to the thumb and measures the signal of the Time-Dependent for corresponding to the LED operated near 660nm and 905nm.The carrier module contains element easy to wear, and the carrier module is preferably provided as disposable unit.
Description
Related application
This application claims on 2 18th, 2011 rights and interests of the priority of the U.S. Provisional Application No. 61/444,285 of submission,
The U.S. Provisional Application is hereby incorporated by reference herein, including accompanying drawing.
Technical field
The application is related to wrist wearing type processor, more particularly, to the modularization wrist wearing type treatment of patient monitoring
Device.
Background technology
Following background of invention is discussed and is merely provided to help reader to understand the present invention, and it is not an admission that describes or constitute the present invention
Prior art in.
Blood pressure is the vital sign of the good index of the health status for being frequently viewed as patient.In the critical of picture ICU or OR
In care environments, blood pressure can be continuously monitored with the arterial duct of the radial artery of insertion patient or femoral artery.Or, can make
Blood pressure is manually measured off and on using stethoscopy with cuff or by medical professional with succusion.Many patient monitors are held
Both the measurement based on conduit and the measurement based on cuff of promoting circulation of blood pressure.
Blood pressure, the Pulse transit time can also be continuously monitored using the technology of referred to as Pulse transit time (PTT)
The conduction time of the pressure pulse that the heartbeat being defined as in the arterial system by patient is started.Typical PTT measurements determine will
Peak (indicating the peak of ventricular depolarization) on QRS complex separates with the bottom (indicating the pressure pulse for reaching) of PPG waveforms
Time.PTT depends primarily on arterial compliance, the propagation distance (its brachium for being sufficiently close to patient) of pressure pulse and blood
Pressure.
PTT and systole phase (SYS) blood pressure, diastole (DIA) blood pressure and average (MAP) are had shown that in many researchs
Blood pressure is associated.PTT can be measured with patient monitor, and the patient monitor includes separate module to determine electrocardiogram
And both SpO2 (ECG).During PTT is measured, multiple electrodes are typically attached to the chest of patient to determine the ECG of Time-Dependent
Component, the ECG components are characterized with being referred to as the sharp spike of " QRS complex ".QRS complex indicates the initial of the ventricle in heart
Depolarising, and informally mark heartbeat and the beginning of subsequent pressure pulse.It is incorporated hereby this herein
The international patent application no PCT/US2010/048866 of text describes a kind of body worn patient monitor, and it continuously measures and comes from
Multiple vital signs of patient.The feature of body worn patient monitor is a series of sensors, and the sensor is attached to patient
To measure the PPG waveforms of Time-Dependent, ECG waveform, motion (ACC) waveform based on accelerometer, oscillography (OSC) waveform, exhale
Inhale speed (RR) waveform and impedance spirography (IP) waveform.Weared on wrist microsever (CPU) continuously processes these
Waveform is determining vital sign, degrees of motion, position and the activity level of patient.The sensor for measuring these signals generally passes through
The serial line interface or bus operated in controlled area net (CAN) agreement send to wrist wearing type transmitting-receiving digital information
Device.CAN is generally used in auto industry, and the different electronic systems of the CAN permission are having a small amount of lost data packets
In the case of efficiently and securely communicate with one another, even in the presence of electrical noise environment.This is for patient ambulatory
Especially advantageous, these patients can generate the signal with substantial amounts of motion-induced noise.
It will be understood that, the present invention is not limited to the details for constructing in its application and illustrates or show in the accompanying drawings in following description
The arrangement of the component for going out.The present invention can carry out the embodiment in addition to those of description, and can be real in many ways
Trample and carry out.In addition, it is to be understood that term used herein and term, and abstract concept are in order at description purpose, and not
Should be viewed as a limitation.
So, it will be apparent to those skilled in the art that the concept that easily disclosure can be based on is used as carrying out this
Other structures, the design basis of method and system of some purposes of invention.It is important, therefore, that in this kind of equivalent constructions not
Depart from the limit of the spirit and scope of the present invention, claims are considered to include the equivalent constructions.
The content of the invention
An object of the invention is to provide a kind of body worn for determining/monitoring the physiological property of wearer
Data handling system.The system includes the outer cover containing processor module, and the separate plastic casing for receiving outer cover.It is described
Processor module is sealed in outer cover with waterproof plastic-like formula, and the outer cover provides opening to access electric interconnection, described electric
Interconnection is operably coupled to processor module.During operation, outer cover is snapped into separate plastic base (or " bracket ").
After the cooperation of outer cover and base portion, interface cavity or " port " of terminal for receiving data cable, the data are formed
Cable leads to and/or from one or more sensors, one or more of sensor collections and physiological property of concern
Related data.The port can be also provided to the connection of one or more peripheral devices, one or more of peripheral devices
Such as blood pressure cuff, wireless communication hardware.The corresponding electric interconnection and cable of port are set up in the insertion of terminal to the port
Between electrical communication, so as to allow the electrical communication between processor module and corresponding sensor or peripheral device.At certain
In a little embodiments, it is a little right that the communication between processor, sensor and any peripheral equipment for passing through port connection is configured as
Spot net so that each device on network is the impartial participation node for enjoying same privilege, described to enjoy the equal of same privilege
Can be functioned simultaneously as both " client " and " server " of other nodes on network Deng node is participated in.
The activity of cleaning and sterilization such as processor module is easy in design as herein described, because outer cover is without for hospital
In typical fluid (such as water and blood) inwardly side flowing opening.During cleaning treatment, simply can remove outer from bracket
Cover, then cleans.In addition, the component of wearing of tongue piece as described above may be provided on bracket so that most of to wear component
On cheap disposable unit, and relatively more expensive electronic building brick is provided and is used for multiple times.Finally, Peer to Peer Architecture is permitted
Perhaps each node other nodes available with system are communicated, and synchronous with other nodes thus according to needing.
In a first aspect, a kind of body worn physiological data processing system of present invention offer, it includes：
Outer cover, its support electronic circuit, the outer cover provides the waterproof case for the electronic circuit, the electronics
Circuit includes：One or more processors, it is configured to one or more the peripheral equipment receiver numbers from outside the outer cover
According to and by data output to one or more of peripheral devices, and it is configured to use from one or more peripheral devices
The data that receive so as to provide signal when the measurement of at least one physiological property of wearer is derived,
Display, it is operably coupled to the processor, to show by the processor from the peripheral device
One or more data for receiving, or form after the treatment of the data,
Power supply, it is operably coupled to the processor and the display, and
One or more electrical pickofves, its one or more in the outer cover are open and are operably coupled to
The processor provides one or more connections, by one or more of connections processors from one or many
Individual peripheral equipment receiver data, and by data output to one or more of peripheral devices；And
B () base portion or " bracket ", it is configured to releasably accept the outer cover, wherein when outer cover insertion is described
When in base portion, one or more interface cavitys are formed between the base portion and the outer cover.
Each of which interface cavity is adapted to set up the periphery by being connected to the data cable of the peripheral device
Being operatively connected between one of device and the processor, by the connector on the data cable to the interface cavity
In insertion cause the connector on electrical pickoff and on the outer cover corresponding electrical pickoff interconnection.
Base portion can be coordinated with outer cover with positive breech lock, or can be coordinated by simple frictional fit, or the group for passing through them
Close to coordinate.In the case of frictional fit, the intensity of frictional fit is preferably enough to prevent base portion and covers on centrifugal force outward
Lower separation.In certain embodiments, gunlock is included by least one interface cavity for cooperatively forming of outer cover and base portion
Structure, when in the fully-inserted cavity of connector, the bolt lock mechanism is used for preventing base portion from being separated with outer cover.In the side of being preferable to carry out
In case, this bolt lock mechanism is included at least one first recesses provided by the base portion in the wall of the interface cavity,
And at least one second recesses provided by the outer cover in the wall of the interface cavity.First recess and second recessed
Portion is configured to be received when connector is inserted into a part for the connector, and the effect of the connector is similar to conventional lock
On breech lock bolt physically to prevent the base portion from being separated with the outer cover, until the connector be removed untill.
In certain embodiments, base portion include for by data handling system it is turnable be fixed to wearer weigh
The bandage or maintenance band of new closure.In these embodiments, the opening that the band can be passed through can be provided in base portion.For
Attach the binding material of other selections including such as adhesive, ultrasonic bonding etc. of the band.The band may include the hook for coordinating
Tying element similar with ring paster or such as bandage, hasp, bracelet, so that system to be fastened to the body of wearer during use
Body.
Preferably, base portion is designed to disposable assembly, and its receiving is preferably designed for nonexpondable electronic equipment
Outer cover.As used herein, on base portion term " disposable " refers to following characteristics：Can be by during normal use
The user of system makes base portion depart from from outer cover so that electronic equipment can easily separate with base portion and need not be with base portion one
Rise and be dropped.This can be used to wearing and the device assembly of the most sensitive system of clanability problem is placed in disposable unit
On, and more expensive electronic building brick is maintained on the unit for being easy to cleanable and reusable.
As described above, outer cover provides the waterproof case for the electronic circuit being contained in outer cover.International standard IEC
Degree of protection (IP Code) system defined in 60529 is divided prevents solids (including as hand and body part of finger), ash
Protection degree in dirt, brought into incidental contact and water immersion electric appliance casing.Preferably, outer cover meets IEC 60529-2004IPX7 marks
Standard, the standard gauge is settled when shell immersion is thirty minutes long as deep as submergence 1m under water, and the entrance of harmful water measured should be
It is impossible.
Connector can be retained in port by frictional fit, or using locking mechanism, such as standard RJ-45 modularizations connection
The locking mechanism of device, it includes resilience tongue piece, and the resilience tongue piece is snap-fited in the recess on outer cover.The removal of connector
It is simply to draw connector by with enough power, or is realized by before drawing making resilience tongue piece from recess disengaging.Excellent
Select in embodiment, port may include tongue piece, the tongue piece shows spring force and bent and in terminal during the insertion of terminal
Resilience when fully-inserted, data communication is set up for receiving cable and cable being retained on into its place of being appropriately directed.
In certain embodiments, processor is configured to the measurement of at least one physiological property for deriving wearer, institute
State at least one physiological property and be selected from the group being made up of the following：Heart rate, the electrical activity of heart, temperature, SpO2, blood pressure, the heart
Rich amount, cardiac output, motion, activity, position, pulse frequency and respiratory rate.The week of the sensor of system will be such as connected to
Side device is appropriately selected for physiological property of concern.Plug type is connected to the periphery of physiological data processing system
Device may be selected from the group being made up of the following：It is adapted to measurement is detected after the tissue with wearer is interacted at least one
The body worn optical probe of individual optical signalling, accelerometer, the pump module for being configured to expand blood pressure cuff, ECG are passed
Sensor, ICG sensors and temperature sensor.As described, each peripheral device is adapted to via being connected to peripheral device
Data cable sets up the operable company with processor by the insertion in the connector on the data cable to interface cavity
Connect.This data cable can travel to and fro between peripheral equipment conduction I/O signals, and preferably also be contained in outer cover electric power certainly
Power supply is supplied to one or more peripheral equipments., for peripheral equipment is powered, peripheral equipment can be made by by body worn outer cover
Lighter, price is less expensive, and it is disposable to be easier.Each peripheral equipment is not necessarily so to power；Such as first week
Edge equipment can be controlled and powered by physiological data processing system, and the second peripheral equipment can be controlled by physiological data processing system but
Powered by the on-board batteries of its own.
As described above, the communication between processor, sensor and any other peripheral equipment for passing through port connection is matched somebody with somebody
It is set to point to point network so that each device on network is the impartial participation node for enjoying same privilege, described to enjoy equally
The impartial of privilege participates in both " client " and " server " of other nodes that node can be functioned simultaneously as on network.Preferred real
Apply in scheme, node is communicated by the serial line interface or bus of the operation in controlled area net (CAN) agreement.CAN is led to
Be usually used in auto industry, its allow different electronic systems in the case where there is a small amount of lost data packets efficiently and securely that
This communication, even in the presence of electrical noise environment.This is especially advantageous for patient ambulatory, and these patients can generate tool
There is the signal of substantial amounts of motion-induced noise.
In certain embodiments, the physiological data processing system include transceiver, the transceiver be used for it is described
Data-acquisition system outside body worn physiological data processing system carries out radio communication.In these embodiments, must
The communication hardware wanted may be provided in outer cover, or can be outside, for example, be provided as inserting by outer cover and base portion institute pluggablely
" dongle " in one of interface cavity of formation, or can partly provide in outer cover and partly in outside.Communication hardware is carried
For the additional flexibility in configuration can be provided for end user for outside pluggable component.
System can be used one or more electric power connectors, one or more of electric power connectors to be adapted to insertion and connect
User is unlocked otherwise by the menu in disabled processing system in mouth cavity and as " key ".The key connector
Example include " pattern connector ", it realizes some special patterns, including but not limited to sleep pattern (deactivation system, for example
During transporting), manufacturer model (allow manufacturer with system interaction to calibrate, to repair), demo mode (permission unit
Show pre-programmed demonstration) and biomedical model (allow hospital or other nurse places to access usually patient unavailable
Setting).
Advantageously, system can also use one or more non-electronic " virtual " connectors, and it is adapted to insertion not
In having an interface cavity in operable use.These plugs can be used to the structure in protection interface cavity, and in system
In the case of the breech lock between base portion and outer cover is provided using connector, when the connector of electrical activity is not used by a user
When, these plugs may act as breech lock.
Many additional features may be incorporated into the electronic equipment being contained in outer cover.As non-limiting example, display
Can provide for the touch screen interface of data inputting to processor；Can provide be arranged to two way voice communication microphone and
Loudspeaker；Voice-over-net (VOIP) communication protocol etc. can be provided.
Due between different type of device using the medical personnel caused by common connector to the mistake of medical treatment device
Connection is just increasingly being understood to that patient's injury and equipment damage both sources.Therefore, in certain embodiments, interface cavity
It is adapted to valid key structure and is connect with reducing incompatible connector insertion including " key " structure, and corresponding connector
Risk in mouth cavity.For example, base portion may include the protruding member in the wall of interface cavity, the protruding member is by appropriate
Recess matching in connector.The incompatible connector for lacking appropriate recess and interface size will physically be prevented from inserting
Enter.For this description is only for example, and the type of usable lock ＆ key structure is not limited.
In related fields, the present invention provides a kind of base portion, and it is configured to releasably accept outer cover, the housing supports
Processor, wherein when the outer cover is inserted in the base portion, one or more are formed between the base portion and the outer cover
Interface cavity, each interface cavity is included in one or more electrical pickofves on the outer cover, and one or more of electricity connect
Contact is operably coupled to the processor, and each interface cavity is adapted to receive electric connector, the electrical connection
Device carries out sliding contact with the electrical pickoff in the interface cavity, to set up between peripheral device and the processor
It is operatively connected, the base portion includes：
Bolt lock mechanism at the first end of the base portion, the bolt lock mechanism is included in a part for the base portion
Formation first interface cavity a part at least one recess, first recess be configured to the electric connector insert
A part for the fashionable receiving electric connector；
The tongue piece of a part for the formation first interface cavity in a part for the base portion, the tongue piece is by structure
Make to be inserted when the electric connector is inserted in the recess on the electric connector and so as to by the connector position to
In the recess of a part for the formation first interface cavity in a part for the outer cover；
Tongue piece at the second end of the base portion, the tongue piece is configured to be engaged to the base portion in the outer cover
When insert in the outer cover corresponding opening in；
Insertion in wherein described electric connector to the first interface cavity causes to position the connector to described
In the recess on outer cover, so as to prevent the base portion from being separated with the outer cover, untill the connector is removed.
Other embodiments are seen in detailed description of the invention below, and see claims.
Brief description of the drawings
Fig. 1 shows the three-dimensional machinery figure of example processor module outer cover of the invention and base module, its drawing processing
Device module outer cover is engaged to the pattern of base module.
Fig. 2 shows the alternative view of the three-dimensional machinery figure of example processor module outer cover of the invention and base module.
Fig. 3 shows the detailed view of base module of the invention.
Fig. 4 shows a series of sectional views of the base module shown in Fig. 3.
Fig. 5 shows to describe the top half and the three-dimensional of the latter half for the EXEMPLARY CONNECTOR protective case used in the present invention
Machine drawing.
Fig. 6 shows the three-dimensional machinery figure for the complete connector used in the present invention.
Fig. 7 shows the three-dimensional machinery figure of the latter half for describing example processor module outer cover of the invention.
Fig. 8 shows the three-dimensional machinery figure of a view for describing complete process device module outer cover of the invention.
Fig. 9 shows to describe connector as shown in Figure 5 to the processor module outer cover and base for coordinating as shown in Figure 1
A pair of three-dimensional machinery figures of the pattern of the insertion in portion's module.
Specific embodiment
Fig. 1 and Fig. 2 describe base portion 100 for being used in body worn data handling system of the invention and releasedly
It is attached to the top and bottom perspective views of the outer cover 101 of the base portion.Outer cover provides and accommodates processor (" system processor ") and close
The waterproof plastic box of connection electronic equipment (outer cover is collectively referred to as " processing module " herein with electronic equipment is associated), and its
The opening on downside is characterized as, the opening provides and electric interconnection is accessed, and the electric interconnection is connected to electricity with interface
The connector of the end of cable, the cable leads to the various sensors and other peripheral equipments of system.In addition to waterproof, this
Individual design is also convenient for the activity as cleaned and sterilize because outer cover without for the typical fluid (such as water and blood) in hospital to
The opening of inner side flowing.
Base portion is preferably designed to be disposable assembly, and its receiving is preferably designed for outside nonexpondable electronic equipment
Cover.As used herein, on base portion term " disposable " refers to following characteristics：Can be by body during normal use
The user of body Worn type data handling system makes base portion depart from from outer cover so that outer cover can be separated easily and not with base portion
Needs are dropped together with base portion.This can be used to be placed in once for wearing and cleaning the most sensitive system component of sex chromosome mosaicism
On property unit, and more expensive electronic building brick is maintained in the unit for being easy to cleanable and reusable.
During use, outer cover is snapped into plastic base turnablely.After outer cover and base portion coordinate, being formed is used for
Interface cavity or " port " of the terminator terminating junctor of data cable are received, the data cable leads to and/or come sensor freely
One or more peripheral devices, the sensor collection data related to physiological property of concern.Terminator terminating junctor is extremely
The electrical communication that the insertion of the port is set up between the corresponding electric interconnection of port and cable, so as to allow system processor
With the electrical communication between corresponding sensor or peripheral device.When engaged, outer cover is releasedly to be attached with base portion；Equally
Ground, when in connector insertion port, connector is also releasedly to be attached with port.As used herein, term " can be released
Be attached with putting " and " releasably accepting " refer to two separation modules can be engaged with each other and take off each other during normal use
From.
Fig. 3 and Fig. 4 describe base portion 100 in more detail.Opening 302a, b and c at the first end of base portion are positioned at, with
And be positioned at larger open 303 at the second end of base portion and be configured to receive the terminator terminating junctor that suitably builds, with
Under the terminator terminating junctor is more fully described.Base portion provides bottom wall and side wall for each interface cavity for receiving connector, and
Covered on outside water-proof electronic appliance and roof is provided when being engaged to base portion, the roof includes electric interconnection, the electric interconnection and end
The conductor of terminal adapter has sliding contact.
Tongue piece 312 (also being shown with section in fig. 4,402) is engaged to the first end of base portion in the groove in outer cover
End is anchored in outer cover.Raised areas 313 and 314 at the second end of base portion provide the frictional fit for outer cover；This
The tight ness rating of frictional fit can be controlled by the thickness of these raised areas and pliability.Preferably, frictional fit is tight enough
So that may be reversed base portion, wherein outer cover is in position and outer cover departs from not from base portion.
Opening 303 (it adapts to have 8 terminator terminating junctors of electric interconnection in this embodiment) can be received than opening
Mouth 302a, b and c (its each self adaptation has 4 terminator terminating junctors of electric interconnection) bigger terminator terminating junctor.Opening 303 exists
Its side wall includes that recess 304 and 305 (is also shown, 404 and 405) with section in fig. 4.These recesses are configured in terminal
Extension (Fig. 6,603 and 605) of the edge of terminator terminating junctor are received when in connector insertion interface cavity.Due to tongue piece
Material composition (forming the thickness and rigidity of the material of tongue piece) and show the insertion phase of the tongue piece 311 in terminator terminating junctor of spring force
Between bend, and resilience when in the fully-inserted interface cavity of terminator terminating junctor.
It is recessed in the basal surface of jut (being shown with section in fig. 4,401) the insertion terminator terminating junctor of this tongue piece
In entering portion (Fig. 6,602), so that form stop thing provides terminator terminating junctor with when terminator terminating junctor is in its appropriate location
Positive positioning.In this position, the electric conductor of terminator terminating junctor has sliding contact with the corresponding electric interconnection on outer cover, and
And in the recess (Fig. 8,801) in distal end (Fig. 6,606) the insertion outer cover of terminator terminating junctor.After being thus inserted into, outer cover is at one end
Fastened by tongue piece 312, and in other end terminator terminating junctor 600 due to the insertion in its distal end 606 to recess 801 and extension
603 and 605 to side wall recess 304 and 305 in insertion and formed " dead bolt " lock.This " breech lock " prevents outer cover from base portion
Remove, untill terminator terminating junctor 600 is removed.Once terminator terminating junctor is removed, base portion just can be by simple with outer cover
Ground lifts outer cover to separate from base portion.
As opening 303, each in opening 302a, b and c also contains tongue piece, and the tongue piece is in terminator terminating junctor
Insertion during bend, and resilience when in the fully-inserted interface cavity of terminator terminating junctor.This tongue piece jut (
Shown with section in Fig. 4,401) insertion terminator terminating junctor basal surface in recess (Fig. 5,504) in, so as to form stop
Thing is with the positive positioning of the offer terminator terminating junctor when terminator terminating junctor is in its appropriate location.In this position, terminal connects
Connect the electric conductor of device has sliding contact with the corresponding electric interconnection on outer cover.However, these connectors are not involved in " breech lock "
In mechanism.
Projection post 306,307,308 and 309 in each interface cavity provides Suo Jie mechanisms to prevent incompatible terminal
The careless insertion of connector.Each terminator terminating junctor has corresponding groove (Fig. 5,503；Fig. 6,604), the corresponding groove
It is adapted to receive projection post.Lacking the similarly sized connector of this groove will be prevented from insertion.This Suo Jie mechanism with
Other electrical cable connectors used in specific nursing setting are connected compared to preferably uniqueness with limiting incorrect cable
Connect the chance that device is inserted accidentally.
In order to base portion is pasted into wearer, there is provided groove (Fig. 3,310 that band can be passed through；Fig. 4,403).This belt
The body position that be able to will be pasted to according to base portion determines size.Preferred site is the wrist of wearer.
Fig. 5 A and Fig. 5 B show top half and the latter half of data cable connector 500, the data cable connection
Device is configured in one of insertion opening 302a, b and c in the case of no association cable hardware.Opening 501 allows cable to draw
Line enters in connector, and spring tension " slip " or " erasing " electrical pickoff are (similar to standard modular rj-45 cables
Those electrical pickofves) positioning is in the opening 502.Connector is advantageously made as 2 components in order to cable attachment.As above institute
State, groove 503 and retaining recess 504 are used for being positioned at connector in its appropriate orientation and to be positioned at compatible interface recessed
In portion.
Fig. 6 shows the basal surface of partial data cable connector 600, and the partial data cable connector is configured to match somebody with somebody
Close larger opening 303.The cable 601 extended from peripheral equipment (not shown) enters relative to the near-end of distal end 606 at it and connects
Device is connect, distal end 606 forms a part for above-described bolt lock mechanism.Spring tension " slip " or " erasing " electrical pickoff are positioned
The (not shown) on the top surface of connector.In some cases, it can be possible to wish by outer cover together with base portion breech lock, without making
Use data cable.In this case, it is possible to provide lack cable 601 and associate " virtual " connector of wiring and electrical pickoff.
This dummy connector will support that insertion is opened including groove 604, retaining recess 602, distal end 606 and extension 605 and 603
In mouth 303.Such as in the case of connector 600, dummy connector will provide breech lock, and the breech lock prevents outer cover from being moved from base portion
Remove, untill dummy connector is removed.
Fig. 7 and Fig. 8 show the downside of the bottom point of outer cover.When base portion is engaged to, engagement pad 701a and b and 702 covers
Opening 302a, b and c in lid base portion, are consequently formed electric interconnection, and the electric interconnection is connected at cable end piece with interface
Terminator terminating junctor.As described above, opening 302a, b and c are sized to adapt to have four connectors of electrical pickoff, and
And engagement pad 701a and b contain the electric interconnection of corresponding number.By contrast, engagement pad 702 contains 8 electric interconnections.Center
Four interconnection the terminals of cable in insertion opening 302b are connected to interface, and when outer cover is engaged to base portion, other
Four electric connectors are disabled.However, when outer cover is separated with base portion, this four extra contact point can be provided to outer cover
The additional electrical of interior electronic equipment is accessed.This four extra contact point can be used for such as battery and charge, and for this
Purpose can provide the separate Battery Charging Station for being adapted to receive outer cover.
Similarly, the opening 303 in the covering of engagement pad 802 base portion, is consequently formed electric interconnection, and the electric interconnection is connecing
Mouth is connected to the terminator terminating junctor of larger cable.As discussed, opening 303 is sized to adapt to have eight electrical pickofves
Connector, and electric interconnection of the engagement pad 802 containing corresponding number.What Fig. 9 described in connector 902 to interface cavity can
Release insertion, the interface cavity is formed at when outer cover is engaged to base portion between opening 303 and engagement pad 802.Insertion
Connector 902 is untill stop recess 904 is snapped into the spine on tongue piece 903.This moment, the distal end insertion of connector is recessed
In portion 801, so as to form breech lock, be maintained at outer cover in base portion by the breech lock, untill connector is removed.
During the suitable electronic equipment that will be provided in outer cover is described in detail in following patent application and announces：It is international special
Sharp application number PCT/US2010/048866, international publication WO2010/135518, the U.S. announce US20090018453A1 and U.S.
State announces US20100168589A1, and each in above-mentioned each patent application and announcement is incorporated hereby herein
Herein.Electronic equipment preferably supports the serial communication carried out by CAN protocol.This allows system processor easily to explain
From the signal that various sensors are reached, and mean that interface cavity need not be associated with particular cable；Any cable all may be used
Plug is inserted in any compatible port.Additionally, because CAN protocol supports the point-to-point connection of peripheral equipment, these weeks
Edge equipment can be in direct communication with each other, such as synchronized purpose.The digital information generated by the peripheral equipment being attached can be wrapped
Include header, the identity or origin of the header indication signal, so that system processor can correspondingly process these letters
Number.
Various peripheral devices can communicate with processing module.For example, cable can by I/O signals be sent to following device or from
Lower device transmits I/O signals：ECG circuit and electrode；Accelerometer；The system based on cuff for determining pressure value；Blood sugar
Instrument；Infusion pump, body worn insulin pump；Respirator；End-tidal CO2 monitoring systems；Pulse oximeter or other light
Learn physiological probe；And clinical thermometer.This inventory is not meant as limiting.Use one or more in these inputs, place
Reason system can determine one or more physiological properties being associated with wearer, such as heart rate, the electrical activity of heart, temperature, SpO2,
Blood pressure, stroke volume, cardiac output, drug dose, weight in patients, blood sugar level, end-tidal CO2, motion, activity, position, pulse
Rate and respiratory rate.
Processing module may include loudspeaker and/or microphone, and the loudspeaker and/or microphone allow medical professional
Appropriate agreement and patient communication using such as voice-over-net (VOIP).For example, medical professional can inquire from central nurse station
Patient；The function of the electronic equipment carried in outer cover can very be similar to conventional cell phones or ' intercom '：Processing module can use
In carrying out voice communication with medical professional, and can in addition relay the vital sign of description patient and the information of motion.Place
Reason module can be configured via software, to support the note of speech-to-text.Can by the voice this means outside generation
The text for being displayed in processing module is converted to, and/or the voice generated at processing module can be exchanged into outside calculating
Text at machine.
System processor be preferably operatively connected to positioned at outer cover top data input device such as keypad or
Touch-screen, to allow wearer or medical worker and system interaction.Opening may be provided in the top of outer cover for loudspeaker and/
Or microphone, as depicted in fig. 9,905 and 906；In order to maintain water resistance (for example, under IPX-7 standards), these openings can
Using such asThe waterproof but breathable material of film (W.L.Gore＆Associates companies) are given from bottom
To seal.
Electronic equipment in outer cover preferably includes battery or other power supplys.Numerous battery technologies are as is generally known in the art
, including conventional alkaline cell, hydrogen oxygen cell, lithium battery etc..In the presence of three kinds of usable preferred battery technologies：NI-G
(NiCad), ni-mh (NiMH) and lithium ion (Li-ion), and most preferably Li-ion batteries.
Battery can be configured to provide with " heat exchange ", to preserve data of electronic equipment, wireless after battery change
Connection etc..For example, before heat is exchanged, can by the battery powered dongle plug of operation firmware program insertion interface cavity it
In one.After plug insertion, dongle sends to system processor the packet formatted according to CAN protocol, indicates system
The battery of system processor will be by the battery replacement of full charge.System processor receives packet, and will dress as response
The information Store that be there is usually no when putting first powered on is in the nonvolatile memory.Or, this information can by temporary transmission,
To store on the data buffer to external network, or storage is on the nonvolatile memory being associated with dongle.One
This is completed denier, and system processor just can signal：Replaceable battery.Can be replaced positioned at the bottom of outer cover with rechargeable battery now
Battery is exhausted on side.After this operation is completed, its before system processor can recover to battery to exchange is configured.
" heat is exchanged " configuration may not be suitable for the IPX-7 standard waterproofs of outer cover.Therefore, alternatively, interchangeable processor
Module in itself, rather than the battery in module.In this case, first processor module currently in use should be closed
Transmitted to second in the storage of the data of wearer and replace processor module.Advantageously, " collision (bumping) " action can be used to
Transmit this data.In order to start transmission, the special " data in individual's access first processor module and second processing device module
Transmission " pattern.Then, being acted using laterally " collision " makes first processor module and second processing device module contact with each other.Often
In one processor module sensor (accelerometer) sensing collision, and matching algorithm pairing detect phase syn-collision (with regard to when
Between and power for) processor module.And if only if confirms collision on two processor modules, just by interchange of data.In number
After exchange, second processing device module replaces the first processor module on the weared on wrist base portion of wearer, and cleans
And first processor module is recharged for using after a while.Matching algorithm can in processing module with local runtime, or can be
Outside operation on single network.In the case of the operation of outside, processor module will collide feature and convey to external network confession
Treatment.
Preferably, the electronic equipment of system supports data being wirelessly transferred from system to external monitor or network.For
Relatively short distance, RF communications, bluetooth (Bluetooth), low-power consumption bluetooth (Bluetooth LE), ANT+, HomeRF,
IEEE 802.11x (for example, IEEE 802.11a/b/g/n) and IEEE 802.15.4 are usable well-known show
Example property standard communication protocol.For the data transfer of somewhat longer-range, such as CDMA, TDMA, GSM, WAP, 3G (example can be used
Such as, 3GPP, W-CDMA, TD-SCDMA, HSPA+, EVDO rev B and CDMA2000) and 4G (for example, LTE advanced,
IEEE 802.16m) cellular telephony protocol.These inventories are not meant as limiting.Support that the electronic equipment of radio communication can
It is contained in outer cover, or can be connected in pluggable mode by one of interface cavity.Additionally, peripheral equipment can also wireless mode
Communicated with system processor rather than by being connected to the data cable of interface cavity.
Those skilled in the art are apparent to, the present invention be well suited for performance objective and obtain be previously mentioned and wherein
Intrinsic result and advantage.Examples provided herein represents preferred embodiment, is exemplary, and is not intended to make
It is the limitation of the scope of the present invention.
Those skilled in the art are readily apparent, and without departing from the scope and spirit of the present invention may be used
Variable substitutions and modifications are carried out to inventions disclosed herein.
The all patents and announcement mentioned in specification indicate the level of the those of ordinary skill in art of the present invention.
All patents and announcement are herein incorporated by reference herein, and its degree is individually announced specific and individually referred to seemingly each
It is shown as being herein incorporated by reference identical.
The invention that suitably illustratively describes herein can lack it is herein and it is not specifically disclosed any one
Or put into practice in the case of multiple element, one or more limitations.Thus, for example, in each example herein, term
" including ", " mainly by ... constitute " and " by ... constitute " in any term can be by any one in other two terms
Instead of.The term and wording for having used are used as describing and unrestricted term, and when using this kind of term and wording simultaneously
Any equivalent of the feature being not intended to shown or described by excluding or part thereof, it should be recognized that various modifications are in this hair
It is possible in the range of bright requirement.Although it will be understood, therefore, that the present invention is specifically public by preferred embodiment and optional feature
Open, but those skilled in the art can using concept disclosed herein modifications and variations, and it will be understood that it is described modification and
Change is considered to be in the scope of the present invention as defined by the appended patent claims.
Other embodiments are illustrated in claims below.
Claims (22)
1. a kind of body worn physiological data processing system, it includes：
(a) outer cover, its support electronic circuit, the outer cover provides the waterproof case for the electronic circuit, outside the waterproof
Shell meets IEC 60529-2004IPX7 standards, and the electronic circuit includes：
Processor, it is configured to one or more the peripheral equipment receiver data from outside the outer cover and by data output
To one or more of peripheral devices, and be configured to use from one or more peripheral equipment receivers to data, from
And signal is provided when the measurement of at least one physiological property of wearer is derived,
Display, it is operably coupled to the processor to show by the processor one from the peripheral device
Form after the data that individual or multiple is received, or the treatment of the data,
Power supply, it is operably coupled to the processor and the display,
One or more electrical pickofves, its one or more in the outer cover are open and are operably coupled to described
Processor provides one or more connections, and the processor is by one or more of connections from one or more of weeks
Side device receives data, and by data output to one or more of peripheral devices；
(b) base portion, it is configured to releasably accept the outer cover, wherein when the outer cover is inserted in the base portion,
One or more interface cavitys are formed between the base portion and the outer cover,
Each of which interface cavity is adapted to releasably accept the connector being connected on the data cable of peripheral device, from
And pass through the data cable and set up being operatively connected between the peripheral device and the processor, wherein the data are electric
The insertion in the connector to the interface cavity on cable is by the electrical pickoff on the connector and the outer cover
Corresponding electrical pickoff interconnection,
And wherein at least one interface cavity includes bolt lock mechanism, and it is empty that the bolt lock mechanism is included at least one interface
At least one first recesses provided by the base portion in the wall in chamber, and in the wall of the interface cavity by the outer cover
At least one second recesses for providing, first recess and second recess are configured to be connect when the connector is inserted
Receive the part of the connector, the insertion of the connector so as to prevent the base portion from being separated with the outer cover, directly
Being removed to the connector；
(c) reclosable maintenance band, its be used for by the physiological data processing system it is turnable be fixed to described wearing
Person.
2. body worn physiological data processing system according to claim 1, wherein the system further includes
Individual or multiple peripheral devices, one or more of peripheral devices are independently selected from the group being made up of the following：It is adapted to
Measure body worn optical probe, the acceleration of at least one optical signalling detected after the tissue with wearer is interacted
Meter, ECG sensor, ICG sensors and temperature sensor, each of which peripheral device are adapted to be set up by data cable
With being operatively connected for the processor, the data cable is by the connector on the data cable to the interface cavity
In insertion and be connected to the peripheral device.
3. body worn physiological data processing system according to claim 1, wherein at least one physiological property
Selected from the group being made up of the following：Heart rate, the electrical activity of heart, temperature, SpO2, blood pressure, stroke volume, cardiac output, motion,
Activity, position, pulse frequency and respiratory rate.
4. body worn physiological data processing system according to claim 2, wherein at least one physiological property
Selected from the group being made up of the following：Heart rate, the electrical activity of heart, temperature, SpO2, blood pressure, stroke volume, cardiac output, motion,
Activity, position, pulse frequency and respiratory rate.
5. the body worn physiological data processing system according to any one of claim 1-3, it further includes to receive
Hair device, the transceiver is used to be carried out wirelessly with the data-acquisition system outside the body worn physiological data processing system
Communication.
6. body worn physiological data processing system according to claim 5, wherein the transceiver includes communication electricity
Road, the telecommunication circuit is adapted to be set up by inserting in the interface cavity and is operatively connected with the processor.
7. body worn physiological data processing system according to claim 1, wherein at least one interface cavity
The tongue piece on the surface of the base portion is further included, the tongue piece is configured to insert described when the connector is inserted
In recess on connector and so as to the connector is positioned into second recess.
8. body worn physiological data processing system according to claim 1, it further includes plug, the plug
Insertion is adapted to not in the interface cavity in operable use, wherein the plug is not electroactive.
9. body worn physiological data processing system according to claim 8, wherein the plug is adapted to insertion
In at least one interface cavity, the insertion of the plug prevents the base portion from being separated with the outer cover, until institute
State plug be removed untill.
10. body worn physiological data processing system according to claim 1, wherein the base portion be included in its first
The tongue piece of end, the first end inserts the corresponding opening in the outer cover when the base portion is engaged to the outer cover
In, and wherein described base portion and the outer cover cooperatively form interface cavity, and the interface cavity is included in including the tongue
The bolt lock mechanism in the end distally of piece.
11. body worn physiological data processing systems according to claim 1, wherein the display is provided for counting
According to the touch screen interface of typing to the processor.
12. body worn physiological data processing systems according to claim 5, wherein the electronic circuit includes Mike
Wind and loudspeaker, the microphone and loudspeaker are arranged to two way voice communication.
13. body worn physiological data processing systems according to claim 12, wherein the microphone and loudspeaker
It is operably coupled to the processor to be communicated for voice-over-net (VOIP).
14. body worn physiological data processing systems according to claim 1, wherein the base portion and the maintenance band
It is configured to disposable unit.
15. body worn physiological data processing systems according to claim 1, wherein the base portion includes key knot
Structure, during the Key structure is configured to prevent incompatible connector from inserting interface cavity.
16. body worn physiological data processing systems according to claim 1, wherein the base portion is covered on outward with described
Be engaged with each other by frictional fit during cooperation, the frictional fit have be enough to prevent the base portion with the outer cover due to the earth's core
Gravitation and separate intensity.
17. body worn physiological data processing systems according to claim 1, wherein the base portion is configured to once
Property unit.
A kind of 18. base portions, it is configured to releasably accept outer cover, the housing supports processor, wherein when the outer cover
When inserting in the base portion, one or more interface cavitys, each interface cavity are formed between the base portion and the outer cover
One or more electrical pickofves on the outer cover are included in, one or more of electrical pickofves are operably coupled to described
Processor, and each interface cavity is adapted to receive the institute in electric connector, the electric connector and the interface cavity
Stating electrical pickoff carries out sliding contact, to set up being operatively connected between peripheral device and the processor, the base portion bag
Include：
Bolt lock mechanism at the first end of the base portion, it is included in the formation first interface in a part for the base portion
At least one recess of a part for cavity, at least one recess is configured to receive institute when the electric connector is inserted
State a part for electric connector；
The tongue piece of a part for the formation first interface cavity in a part for the base portion, it is configured to described
In the recess that electric connector inserts on the electric connector when inserting and so as to the connector is positioned in the outer cover
A part on the formation first interface cavity a part recess in；
Tongue piece at the second end of the base portion, it is configured to insert described when the outer cover is engaged to the base portion
In corresponding opening in outer cover；
Insertion in wherein described electric connector to the first interface cavity causes to position the connector to the outer cover
On a part on the formation first interface cavity a part the recess in, so as to prevent the base portion with it is described
The separation of outer cover, untill the connector is removed.
19. base portions according to claim 18, wherein the base portion is included for being attached reclosable maintenance band
Opening.
20. base portions according to claim 18, wherein the base portion is configured to disposable unit.
21. base portions according to claim 18, wherein the base portion includes Key structure, the Key structure is configured to
In preventing incompatible connector from inserting interface cavity.
22. base portions according to claim 18, wherein the base portion includes one or more protrusions, it is one or many
Individual protrusion is configured to contact the outer cover when the outer cover is engaged to the base portion, wherein one or more of protrusions
Thing sets up frictional fit, and the frictional fit is had and is enough to prevent the base portion from being separated due to centrifugal force with the outer cover
Intensity.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161444285P | 2011-02-18 | 2011-02-18 | |
| US61/444,285 | 2011-02-18 | ||
| PCT/US2012/025648 WO2012112891A1 (en) | 2011-02-18 | 2012-02-17 | Modular wrist-worn processor for patient monitoring |
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|---|---|
| CN103582449A CN103582449A (en) | 2014-02-12 |
| CN103582449B true CN103582449B (en) | 2017-06-09 |
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ID=46672959
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201280011842.6A Active CN103582449B (en) | 2011-02-18 | 2012-02-17 | For the modularization wrist wearing type processor of patient monitoring |
Country Status (5)
| Country | Link |
|---|---|
| US (3) | US9439574B2 (en) |
| EP (2) | EP2675348B1 (en) |
| CN (1) | CN103582449B (en) |
| SG (2) | SG10201601164SA (en) |
| WO (1) | WO2012112891A1 (en) |
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| US12210381B2 (en) | 2013-11-29 | 2025-01-28 | Ouraring, Inc. | Wearable computing device |
| US12222759B2 (en) | 2013-11-29 | 2025-02-11 | Ouraring, Inc. | Wearable computing device |
| US12222758B2 (en) | 2013-11-29 | 2025-02-11 | Ouraring, Inc. | Wearable computing device |
| US12228968B2 (en) | 2013-11-29 | 2025-02-18 | Ouraring, Inc. | Wearable computing device |
| US12235679B2 (en) | 2013-11-29 | 2025-02-25 | Ouraring, Inc. | Wearable computing device |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2012112891A1 (en) | 2012-08-23 |
| US11179105B2 (en) | 2021-11-23 |
| EP3639739B1 (en) | 2022-07-06 |
| EP3639739A1 (en) | 2020-04-22 |
| CN103582449A (en) | 2014-02-12 |
| SG192836A1 (en) | 2013-09-30 |
| SG10201601164SA (en) | 2016-03-30 |
| EP2675348A4 (en) | 2018-01-03 |
| US20120296174A1 (en) | 2012-11-22 |
| US9439574B2 (en) | 2016-09-13 |
| US10238338B2 (en) | 2019-03-26 |
| EP2675348B1 (en) | 2019-11-06 |
| EP2675348A1 (en) | 2013-12-25 |
| US20170224281A1 (en) | 2017-08-10 |
| US20190216396A1 (en) | 2019-07-18 |
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